Provider First Line Business Practice Location Address: 
MALLENNIUM TRAVEL NURSING
    Provider Second Line Business Practice Location Address: 
25 BRAINTREE HILL OFFICE PK
    Provider Business Practice Location Address City Name: 
BRAINTREE
    Provider Business Practice Location Address State Name: 
MA
    Provider Business Practice Location Address Postal Code: 
02184
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
781-971-5019
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
04/15/2022